Certified Gastroenterology RN Exam Prep - Question List

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26. ____________ cancer has the highest incidence in men.
  1. Colorectal
  2. Urinary tract
  3. Prostate
  4. Lung
27.

A nurse develops a plan of care for a client at risk for autonomic dysreflexia. Which of the following nursing actions is not included in the care plan?

  1. Administer pain medications as ordered
  2. Straight catheterization every 8 hours
  3. Adherence to bowel retraining program
  4. Keeping the client's linen wrinkle-free
28. A 50-year-old woman presents with symptoms of heartburn due to a weak lower esophageal sphincter. Which of the following conditions causes this?
  1. Achalasia
  2. Mallory-Weiss syndrome
  3. Hiatal hernia
  4. Gastroesophageal reflux disease
29.

Nina the New Nurse is caring for a client who has just returned from gastric surgery. The client has a NG tube to low suction, is awake, and is not complaining of pain; however, he is complaining of severe nausea. While Nina the New Nurse is in the client's room to administer an anti-emetic, the client vomits. After administering the medication, Nina the New Nurse next irrigates the NG tube with 30cc of normal saline. Which one or more of the following, if any, did Nina the New Nurse do wrong?

  1. Nina the New Nurse is correct
  2. Nina the New Nurse should not irrigate a gastric surgery client, unless prescribed by the surgeon
  3. Nina the New Nurse should have advanced the NG tube and then irrigated
  4. Nina the New Nurse should have examined the NG tube for occlusions, and/or the suction apparatus for malfunctions
30.

A 23-year-old woman is complaining of colicky pain in the right lower abdomen after meals and continuous diarrhea. Stools are liquid or semi-formed, with mucus and pus, but without blood. Physical assessment findings include tenderness and mass in the right lower quadrant of the abdomen. The patient is suspected to have Crohn's disease. Which of the following laboratory and diagnostic findings would support the diagnosis?

  1. A cobblestone appearance is recognized on the mucosa of the affected bowel
  2. The mucosa and submucosa of the large intestine is affected
  3. The distribution of the lesions is continuous
  4. Normal levels of folic acid and vitamins A, B complex, and C are detected

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